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North Carolina rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $73.97 / $85.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $88.78 / $88.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.44 / $115.44 / $115.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $66.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.00 / $73.33 / $99.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $25.00 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $40.96 / $46.71
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.57 / $177.98 / $539.92
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.98 / $585.98 / $687.60